I have had dishydrotic eczema (atopic dermatitis) on my hands for the last year-and-a-half. It mainly consists of tiny fluid-filled blisters in between my fingers, on the sides of my fingers, on my palms, and at the wrist line. Sometimes it is just one blister here and there; other times it is a cluster of blisters that eventually fuse into one larger, irregularly shaped blister. Some of the blisters are itchy and/or painful, others have no itch or pain at all. Usually, they disappear in a matter of days, but there are always new ones appearing in other places so the condition never really seems to go away. Initially, the blisters only appeared during the hottest summer months, but now I have them at any time of the year. I use only baby soap and mild shampoos, I do not expose my hands to excessive amounts of water, I am under mild stress but control it to the best of my ability, I do not have any major allergies (except perhaps dust mites), and my diet is generally healthy.
Is there anything I can do to treat the blisters and prevent recurrence? I could not find anything new on the Internet that has helped me and my doctor said he could prescribe steroids for quality of life improvement, but there is no cure and it may become chronic. The only thing I haven't tried is cutting out nickel-rich foods such as almonds, figs, pineapples, red wine, chocolate, whole grains, but these are considered "healty" or "beneficial" foods (in moderation) so I don't really feel like giving them up so quickly.
Hello and hope you are doing well.
Eczema is one condition where the hands get cracked. In this disorder contact with triggering factors like soaps, cosmetics, jewelry, clothing, and detergents causes symptoms. Sometimes sweat, changes in temperature and psychological stress are known to trigger these episodes.
For therapy the best way is to prevent attacks by identify those substances which you are allergic to and avoid them. So, Allergy testing would be worth looking into. And treatment is with cortisone based creams, which need to be very potent and of increased strength to heal the cracks. Always wear gloves for washing and while going outside, as cold increases drying. Don't wash your hands anymore than necessary and use very mild soaps. Apply constantly plenty of good moisturizing creams and alternate with steroid creams. Use a humidifier in the rooms to avoid dryness.
Hope this helped and do keep us posted.